MEDICARE: DR. EMILY MARTINEZ PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1392354	TX

General Provider Information

NPI Number	:	1417796509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY MARTINEZ PT, DPT

Provider Business Mailing Address
First Line	:	7500 VISCOUNT BLVD
Second Line	:	SUITE 298
City	:	EL PASO
State	:	TX
Zip	:	79925
Country	:	US
Telephone Number	:	915-200-2694
Fax Number	:	915-521-2278

Provider Business Practice Location Address
First Line	:	1540 N ZARAGOZA RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7905
Country	:	US
Telephone Number	:	915-592-3323
Fax Number	:	915-593-8571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	06/11/2026

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